Christopher Webster
Individual provider Active NPI Physical Therapist · Legrange, NC
NPI 1992229215 · NPPES record last updated Jul 28, 2017
Key facts
- NPI
- 1992229215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P12071 (NC)
- Practice address
- 3870 Falling Creek Road
Legrange, NC 28551 - Phone
- (407) 961-6363
- NPI assigned
- Jul 28, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12071 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P12071 | NC | Yes |
Addresses
Primary practice location
3870 Falling Creek Road
Legrange, NC 28551
Mailing address
3870 Falling Creek Rd
La Grange, NC 28551-8726
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.